Leslie S McIlvried, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

242197 Issued in MA

Practice address

1755 Park St
Suite #300
Naperville, IL 60563-4861

Phone

(630) 416-6056

NPI assigned

Mar 23, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Leslie McIlvried Aprn BC LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Naperville, IL
  • NPI 1932636339
  NPD Authorized official
• Integrated Dermatology of Tidewater LLC

  • Dermatology Physician
  • Norfolk, VA
  • NPI 1801238472
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1225098445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 STEEPLECHASE RD",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601744705",
            "telephone_number": "508-631-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 PARK ST",
            "address_2": "SUITE #300",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634861",
            "telephone_number": "630-416-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCILVRIED",
        "first_name": "LESLIE",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "242197",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "242197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0367630",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "C434",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "NP3266",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa McGinnis, M.S., CCC-SLP
• Nicholas Freeman McGinnis, DC
• Christine Margaret McGrath, MA, LPC
• Julie L McHugh, ATC/L
• Sylvia McHugh, DPT
• Anne-Marie McIntyre
• D Mark McIntyre
• Angel McKay
• Joanne McKee, MS, CRC, LPCP,SEP
• Kaitlin V McKee, MD

• Family Nurse Practitioner in Naperville, IL
• Providers in Naperville, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.